Carolina Wreath Fax Order Page

Carolina Wreath Fax Order Form
Print out form above, fill out information needed and FAX to 252-985-2909

Ordered by:
Company Name:_________________________________________________

Your Name:_____________________________________________

Street Number:__________________________________________
(No P.O. Boxes) ($8.00 handling charge for incorrect delivery addresses)

City___________________________ State______ Zip:_________

Phone:___________________ Fax:_________________ Email:_______________________________

Items Ordered:

Quantity	Description	Cost per Wreath	Total Cost








Sub-Total
For Wreath orders of 20 to 49 subtract 5%
For Wreath orders of 50 or more subtract 10%
N.C. residents add 7% sales tax
Shipping and Handling with correct address			FREE
Grand Total

Payment Method:
Credit Card Number:____________________________________________

MC___ Visa___ Amex____ Card Expires:_________

Name as it appears on card: ______________________________________

Your Signature:________________________________________________

Daytime Phone: _________________ Fax:/Phone:____________________

Check _____ Amt. of Check $ __________ Check #_________

Make checks payable to: Carolina Wreath Co.